INNOVATIVE LIFE OF NEW JERSEY
NPI 1942977079
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Plainsboro, NJ

NPI Status: Active since August 26, 2021

Contact Information

2913 HUNTERS GLEN DR
PLAINSBORO, NJ
ZIP 08536
Phone: (301) 270-4750

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 09D2025308
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 06-05-2027

About INNOVATIVE LIFE OF NEW JERSEY

This page provides the complete NPI Profile along with additional information for Innovative Life Of New Jersey, a provider established in Plainsboro, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1942977079 assigned on August 2021. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Shinavia Mckinney (Coo)

NPI
1942977079
Provider Name
INNOVATIVE LIFE OF NEW JERSEY
Entity Type
Organization
Location Address
2913 HUNTERS GLEN DR PLAINSBORO, NJ 08536
Location Phone
(301) 270-4750
Mailing Address
8484 GEORGIA AVE STE 900 SILVER SPRING, MD 20910
Mailing Phone
(301) 270-4750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2021
Last Update Date
08-26-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHINAVIA MCKINNEY

Authorized Official Title
COO
Authorized Official Phone
(301) 270-4750

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
09D2025308
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
June 06, 2025
Certificate Expiration Date
June 05, 2027
Laboratory Director
MS. MERCY FATUROTI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innovative Life Of New Jersey to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942977079, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 8 + 7 + 1 + 4 + 0 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1942977079.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
2913 HUNTERS GLEN DR
PLAINSBORO, NJ 08536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942977079, enumerated as an "organization" on August 26, 2021.

The provider is located at 2913 HUNTERS GLEN DR PLAINSBORO, NJ 08536 and the phone number is (301) 270-4750.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.